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After Shift Change the Nurse Discovers That a Client's IV

Question 31

Multiple Choice

After shift change the nurse discovers that a client's IV heparin has been turned off at the IV controller. The amount of fluid left in the IV bag indicates that the client received half of the dose ordered. Which statement should be documented in the client's medical record?


A) IV heparin restarted. Physician notified. Client's vital signs unchanged.
B) IV heparin restarted at a rate to catch up dosage accidentally deleted.
C) IV heparin turned off by previous shift. Restarted.
D) IV heparin restarted and incident report completed.

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